Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
Leg swelling, chronic fatigue, reduced exercise tolerance.
EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
Post-COVID-19 cardiac monitoring and care.

Endocrinology – Diabetes, thyroid, metabolism:

Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
Individual treatment plans including oral medications and insulin therapy.
GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
Metabolic syndrome – obesity, lipid disorders, insulin resistance.

Gastroenterology – Digestive health:

Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).

General internal medicine and preventive care:

Respiratory infections – cough, colds, bronchitis.
Lab test analysis, therapy adjustments, medication management.
Adult vaccinations – planning, contraindications assessment.
Cancer prevention – screening strategies and risk assessment.
Holistic approach – symptom relief, complication prevention, and quality of life improvement.

Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use Zincas

Package Leaflet: Information for the User

ZINCAS

5.5 mg of zinc ions, tablets

Zinc hydroaspartate

Read the leaflet carefully before using the medicine, as it contains important information for the patient.

This medicine should always be used exactly as described in this patient leaflet or as directed by a doctor, pharmacist, or nurse.

Keep this leaflet, you may need to read it again.
If you need advice or additional information, consult a pharmacist.
If the patient experiences any side effects, including any possible side effects not listed in this leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
If there is no improvement or the patient feels worse after 30 days, they should contact their doctor.

Table of Contents of the Leaflet

1. What is Zincas and what is it used for
2. Important information before using Zincas
3. How to use Zincas
4. Possible side effects
5. How to store Zincas
6. Contents of the pack and other information

1. What is Zincas and what is it used for

Zincas is a medicine containing zinc.
Zinc is a microelement. It regulates the production of growth hormone and sex hormones (it is necessary for the production of sperm and egg cells). It reduces the body's susceptibility to infections and allergies. It affects the proper secretion of insulin by the pancreas.
A zinc deficiency can cause: skin disorders, gastrointestinal disorders, nervous system disorders, immune system disorders, and bone disorders. A significant zinc deficiency can cause dwarfism and underdevelopment of the sex organs.

Indications:

supplementing zinc deficiency in the body.

2. Important information before using Zincas

When not to use Zincas

if the patient is allergic to the active substance or any of the other ingredients of the medicine (listed in section 6);
if the patient has kidney failure;
if the patient is being treated with antibiotics or other medicines (listed in the section Zincas and other medicines).

Warnings and precautions

Taking a dose higher than recommended may cause diarrhea.

Children

Do not take a higher dose than recommended.

Zincas and other medicines

Tell your doctor or pharmacist about all the medicines you are taking, or have recently taken, and about any medicines you plan to take.
Do not take Zincas at the same time as the following medicines:

antibiotics from the tetracycline group (e.g., doxycycline), as zinc reduces their absorption;
containing acetylsalicylic acid (e.g., aspirin, polopiryna);
non-steroidal anti-inflammatory drugs (NSAIDs), e.g., ibuprofen, indomethacin;
diuretics, e.g., hydrochlorothiazide;
corticosteroids, known as steroids, e.g., hydrocortisone;
medicines and dietary supplements containing calcium, iron, and copper, as they reduce zinc absorption;
chelating agents, e.g., penicillamine - a medicine used to treat, among other things, lead or copper poisoning.

Taking Zincas with food and drink

Take the medicine after a meal, with a glass of water.
Do not take Zincas at the same time as dairy products (milk and its derivatives), as these products reduce zinc absorption.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor or pharmacist before using this medicine. Zincas should not be used during pregnancy and breastfeeding.

Driving and using machines

The medicine does not affect the ability to drive and use machines.
Zincas contains sucrose. One tablet contains 30 mg of sucrose. If the patient has previously been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine.
Zincas contains quinoline yellow, which may cause allergic reactions.
Zincas contains sodium. The medicine contains less than 1 mmol (23 mg) of sodium per maximum single dose (3 tablets), which means the medicine is considered "sodium-free".

3. How to use Zincas

This medicine should always be used exactly as described in this patient leaflet or as directed by a doctor or pharmacist. If you are unsure, consult your doctor or pharmacist.

Usual dose:

Age
Dose of the medicine
Take
children under 5 years old
1 tablet
once a day
children from 5 to 15 years old
1 tablet
twice a day
adults and adolescents over 15 years old
1 tablet
three times a day
Take the medicine orally, after a meal, with a glass of water.
Small children should not be given whole tablets. The tablet can be crushed, dissolved in a small amount of water, and given to the child to swallow.
If symptoms do not improve after 30 daysof using the medicine, consult your doctor.

Taking a higher dose of Zincas than recommended

If you take a higher dose than recommended, consult your doctor or pharmacist.
Overdose symptoms may occur (listed in section 4).

Missing a dose of Zincas

Do not take a double dose to make up for a missed dose.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
When using the medicine as directed, no side effects have been observed.
Higher doses of the medicine may cause side effects such as: nausea, abdominal pain, diarrhea, metallic taste in the mouth, headache.
Long-term use of Zincas may cause copper deficiency and anemia.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in this leaflet, inform your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store Zincas

Keep the medicine out of the sight and reach of children.
Store in a temperature below 25°C.
Store in the original packaging to protect from light and moisture.
Do not use Zincas after the expiry date stated on the packaging.
The expiry date refers to the last day of the given month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer needed. This will help protect the environment.

6. Contents of the pack and other information

What Zincas contains

The active substance of the medicine is zinc hydroaspartate dihydrate. One tablet contains: 5.5 mg of zinc ions in the form of 31 mg of zinc hydroaspartate dihydrate.
Other ingredients are: potato starch, sucrose, talc, magnesium stearate, dextrin,

carboxymethylcellulose sodium (type C), microcrystalline cellulose, quinoline yellow (E 104).

What Zincas looks like and contents of the pack

Zincas is a yellow, round, flat tablet on both sides.
Packaging: a container containing 50 tablets in a cardboard box.

Marketing authorization holder and manufacturer

Pharmaceutical Company Farmapol Sp. z o.o.
ul. Święty Wojciech 29
61-749 Poznań
tel.: +48 61 852 63 53
e-mail: [email protected]
To obtain more detailed information about this medicine, contact the representative of the marketing authorization holder.
Information for the blind and visually impaired:the content of the leaflet is available on the free phone number: 0800 706 848.